Individual
DR. JERRY STEVEN SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1709 PEPPERELL PKWY, OPELIKA, AL 36801
(334) 745-3268
Mailing address
1709 PEPPERELL PKWY, OPELIKA, AL 36801
(334) 745-3268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AL3702
AL
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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